PINNACLE SJIR (NPI# 1437705456) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437705456 |
| Entity Type | Organization |
| Organization Name | PINNACLE SJIR |
| Practice Address |
145 Trevino Ave Manteca CA 95337-4200 |
| Mailing Address |
500 E Court Ave Ste 305 Des Moines IA 50309-2057 |
| Practice Telephone | 2097888180 |
| Practice Fax Number | 2097830036 |
| Mailing Telephone | 5152373974 |
| Enumeration Date | 2019-08-15 |
| Last Update Date | 2019-08-15 |
| Authorized Official Name | DAVID SOTO (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 2097888180 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TAXONOMY | 2085R0202X | 01 |
| Street Address |
145 TREVINO AVE |
| City | MANTECA |
| State | CA |
| Zip Code | 95337-4200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225640485 | Shanitta D Hines | Counselor | Victor Community Support Services, 302 Cherry Lane, CA 95337 | 2020-08-19 |
| 1548658685 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 401 S Airport Way, Manteca, CA 95337 | 2014-12-23 |
| 1225430655 | Elizabeth Julia Ann Tyner | Hearing Instrument Specialist | 1079 Eucalyptus, Suite B, Manteca, CA 95337 | 2014-09-17 |
| 1134565740 | Aegis Treatment Centers, LLC | Clinic/Center | 955 W. Center Street, Suites 12a, 12b & 14, Manteca, CA 95337 | 2013-05-22 |
| 1053668947 | Roger Cabo Inciong | Physical Therapist | 3652 Rapallo Way, Manteca, CA 95337 | 2012-08-09 |
| 1295997757 | Costco Wholesale Corporation | Pharmacy | 2440 Daniels St, Manteca, CA 95337 | 2008-06-26 |
| 1255474235 | Carmen Catherine Nunes | Marriage & Family Therapist | 1771 Yosemite Ave., Manteca, CA 95337 | 2007-02-15 |
| 1063577062 | Kathy Laverne Barron | Counselor | 1789 W. Yosemite Ave., Sierra Building, 1st Floor, Manteca, CA 95337 | 2006-12-27 |
| 1891853149 | R. Ciccarelli, Dds., R. Joseph, Dds., M. El Farra, Dds., D. Saini, Dds | Dentist | 1507 W. Yosemite, Manteca, CA 95337 | 2006-12-05 |
| 1467528265 | Annie Mathew | Pharmacist | 1777 West Yosemite Ave, Manteca, CA 95337 | 2006-11-27 |
| Find all providers in zip 95337 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275523169 | Central Valley Imaging Medical Associates, Inc | Radiology | 250 Cherry Ln Ste 116, Manteca, CA 95337-4398 | 2005-10-24 |
| 1811527997 | Central Valley Imaging Medical Associates, Inc | Radiology | 250 Cherry Ln Ste 116, Manteca, CA 95337-4398 | 2020-01-17 |
| 1295218204 | Central Valley Imaging Medical Associates, Inc | Radiology | 250 Cherry Ln Ste 116, Manteca, CA 95337-4398 | 2018-09-14 |
| 1871070722 | Central Valley Imaging Medical Associates, Inc | Radiology | 250 Cherry Ln Ste 116, Manteca, CA 95337-4398 | 2018-07-24 |
| 1689163461 | Central Valley Imaging Medical Associates, Inc | Radiology | 250 Cherry Ln Ste 116, Manteca, CA 95337-4398 | 2018-05-07 |
| 1114428083 | Central Valley Imaging Medical Associates, Inc | Radiology | 250 Cherry Ln Ste 116, Manteca, CA 95337-4398 | 2018-02-26 |
| 1558860304 | Central Valley Imaging Medical Associates, Inc | Radiology | 250 Cherry Ln Ste 116, Manteca, CA 95337-4398 | 2018-02-07 |
| 1881112894 | Central Valley Imaging Medical Associates, Inc | Radiology | 250 Cherry Ln Ste 116, Manteca, CA 95337-4398 | 2017-08-30 |
| 1790212280 | Central Valley Imaging Medical Associates, Inc | Radiology | 250 Cherry Ln Ste 116, Manteca, CA 95337-4398 | 2017-05-16 |
| 1326572256 | Central Valley Imaging Medical Associates, Inc | Radiology | 250 Cherry Ln Ste 116, Manteca, CA 95337-4398 | 2017-04-18 |
| Find all providers in MANTECA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.